Orthopedics

Orthopedics 222: Dropped Head Syndrome | CCEDseminars

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Orthopedics 222 Dropped Head Syndrome Cervical Myelopathy and ALS online chiropractic CE course taught by Michael Hall DC FIACN, covering neuro-orthopedic cervical spine evaluation and red flags.
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Instructor:  Michael Hall, DC, FIACN
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

Split clinical scene: a man with forward-flexed head posture shown with a translucent cervical spine overlay highlighting inflamed vertebrae, beside a clinician guiding a patient's gait assessment in a rehabilitation corridor — Orthopedics 222: Dropped Head Syndrome, a 2-hour chiropractic CE course

Orthopedics 222 At a Glance

CourseDropped Head Syndrome · 2 CE Hours
FacultyMichael Hall, DC, FIACN
FormatOnline, on-demand — start immediately
Pricing$40 ($20/hr) · automatic bundle discounts
ApprovalPACE Provider #34015544 · TCC co-sponsored

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Texas Chiropractic College co-sponsor logo FCLB PACE Provider 34015544 approval logo CE Broker auto-reporting integration logo Board-approved · PACE Provider #34015544 · CE Broker auto-reporting · Instant certificate

Dropped head syndrome can present as difficulty holding the head upright, forward-flexed posture, neck extensor weakness, fatigue, or a chin-on-chest appearance. Because similar presentations may overlap with cervical myelopathy, motor neuron disease, neuromuscular disorders, spinal cord compression, and other serious conditions, the clinical goal is not just identification. The goal is to build a structured neuro-orthopedic evaluation strategy that helps distinguish mechanical, neurologic, and systemic contributors.

In Orthopedics 222, Michael Hall, DC, FIACN emphasizes practical examination thinking for chiropractic practice: gait changes, reflex findings, hand dexterity changes, upper motor neuron signs, progressive weakness, symptom behavior, history patterns, imaging considerations, and the referral triggers that protect the patient when the presentation is more than mechanical.

Where This Course Fits — Three Lanes, One Curriculum

The CCED Orthopedics series — 26 courses, 52 CE hours — organizes into three working lanes. Trace the nerve, evaluate the joint, and catch the presentations that change management:

1 · Nerve Entrapment Syndromes

201: Upper Extremity Entrapments · 202: Trunk & Upper Extremity · 203: Pelvis & Lower Extremities · 221: Burner Syndrome

2 · Joint by Joint — Shoulder to Foot

204: Rotator Cuff Syndrome · 206: Frozen Shoulder · 212: The Neck & Shoulder · 215: Foot & Ankle Conditions · 216: Plica Syndrome · 217: Achilles Tendinitis · 218: The Floppy Ankle · 219: The Hip · 225: Stress Fracture

3 · Spine, Stability & Red Flags

205: Cervical Spine Instability · 207: Finger to Floor & Sit-n-Reach · 208: Managing Chronic Pain · 209: The Romberg Sign · 210: Inflammatory Disc Disease · 211: Cervical Position Sense · 213: Coronal Plane Movement & Neuroplasticity · 214: Cauda Equina & Lumbar Radiculopathy · 220: Cervicovagopathy · You are here » 222: Dropped Head Syndrome · 223: Inflammation & Relationships · 224: Breathe & Mouth Breathing · 226: Gait & the Lumbar Spine

All courses in Orthopedics 201–224 count toward the 48-hour Clinical Chiropractic Orthopedics Certification (CCO). Browse the full Orthopedics category.

What You'll Learn

  • Describe the clinical presentation of dropped head syndrome and its relevance to chiropractic orthopedic evaluation.
  • Identify signs and symptoms suggesting cervical myelopathy or spinal cord involvement.
  • Recognize when ALS, motor neuron disease, or neuromuscular conditions warrant consideration.
  • Apply a structured neuro-orthopedic examination approach for complex cervical presentations.
  • Differentiate routine musculoskeletal findings from red flags requiring referral.
  • Improve clinical documentation for neurologic findings, decision-making, and referral rationale.
Course Outline
  • Clinical Orientation — framing dropped head syndrome, cervical myelopathy, and ALS within chiropractic orthopedic practice.
  • Dropped Head Syndrome Presentation — posture, neck extensor weakness, fatigue, chin-on-chest appearance, and functional limitations.
  • Neuromuscular and Neurologic Considerations — conditions contributing to head drop, weakness, and progressive cervical postural change.
  • Cervical Myelopathy Recognition — gait disturbance, hand dexterity changes, sensory changes, upper motor neuron signs, and spinal cord red flags.
  • ALS and Motor Neuron Disease Considerations — clinical patterns warranting heightened concern and referral.
  • Neuro-Orthopedic Examination Strategy — reflexes, myotomes, sensory testing, coordination, gait, pathologic reflexes, and cervical motor control.
  • Imaging and Referral Reasoning — organizing when MRI, EMG, neurologic consultation, or medical referral is appropriate.
  • Differential Diagnosis and Red Flags — progressive weakness, falls, bilateral neurologic findings, bowel/bladder changes, dysphagia, dyspnea, and worsening neurologic signs.
  • Clinical Documentation and Care Planning — recording findings, explaining clinical concern, documenting decision-making, and coordinating next steps.
Your Instructor — Michael Hall, DC, FIACN
Michael Hall DC FIACN, chiropractic neurology and orthopedics CE instructor

Michael Hall, DC, FIACN is a Fellow of the International Academy of Chiropractic Neurology with over 30 years of clinical and academic expertise. A 1990 honors graduate of Parker College of Chiropractic and Diplomate of the American Board of Chiropractic Neurology (1993), Dr. Hall is the founder of BrainDC.org and a leading voice in functional neurology, concussion management, and global chiropractic education.

Meet the full CCED faculty »

Will This Course Count in My State?

CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB). Orthopedics coursework is clinical subject matter — examination, diagnosis, and case management — and Orthopedics 222 is accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. The complete approval list for this course appears at the bottom of this page, and completions auto-report to CE Broker for participating states.

Not sure what your board requires? Check your state's rules on the CE guidelines hub.

Stack Your Hours & Save Automatically

Online courses are $20 per credit hour. Buy 6–9 hours and 10% comes off automatically at checkout; 10+ hours takes 20% off. No promo codes — the discount calculates itself.

Pair Orthopedics 222 with 205: Cervical Spine Instability, 214: Cauda Equina & Lumbar Radiculopathy, and 220: Cervicovagopathy — the red-flag recognition block — or take the whole track: the CCO Certification Bundle delivers all 24 courses (Orthopedics 201–224, 48 hours) in one $960 purchase toward the Clinical Chiropractic Orthopedics certification.

References

  1. Johns Hopkins Medicine. Cervical Myelopathy. hopkinsmedicine.org
  2. Dropped Head Syndrome Due to Neuromuscular Disorders. NIH / PubMed Central. PMC6763751
  3. Degenerative Cervical Myelopathy: Recognition and Management. American Family Physician. aafp.org
  4. Cervical Spondylotic Myelopathy Secondary to Dropped Head Syndrome. NIH / PubMed Central. PMC4808527

Frequently Asked Questions

What does Orthopedics 222: Dropped Head Syndrome cover?

Orthopedics 222 is a 2-hour online chiropractic CE course on dropped head syndrome and its serious mimics — cervical myelopathy, ALS, motor neuron disease, and other neuromuscular conditions. It builds a structured neuro-orthopedic evaluation strategy: presentation, examination, imaging and referral reasoning, red flags, and documentation. It is also listed as "Dropped Head Syndrome, Cervical Myelopathy, and ALS," and chiropractors may search for it as a cervical myelopathy course, a myelopathy red flags CE, or a neuro-ortho examination course.

Is Orthopedics 222 PACE-approved and accepted in my state?

Yes. CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB), with courses accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. Completions auto-report to CE Broker for states served. The full approval list for this course appears at the bottom of the page.

What causes a person to be unable to hold their head up?

Difficulty holding the head upright — head drop, a forward-flexed posture, or a chin-on-chest appearance — can arise from cervical extensor weakness, but the same picture may signal cervical myelopathy, motor neuron disease, neuromuscular disorders, or spinal cord compression. Because the stakes of missing those mimics are high, Orthopedics 222 teaches the structured neuro-orthopedic evaluation that distinguishes mechanical, neurologic, and systemic contributors and triggers timely referral.

How many CE hours does Orthopedics 222 award, and how is the certificate issued?

Orthopedics 222 awards 2 chiropractic CE hours. Your certificate is issued electronically the moment you complete the course and quiz, and is available in your CCEDseminars account. Completions auto-report to CE Broker for participating states.

Which CCED orthopedics courses pair well with Orthopedics 222?

Doctors who take Orthopedics 222 often add Orthopedics 205: Cervical Spine Instability, 214: Cauda Equina & Lumbar Radiculopathy, and 220: Cervicovagopathy — the red-flag recognition block. All Orthopedics 201–224 courses also count toward the 48-hour CCO certification.

Good to know: the course title in your account is your access link — no software installation, any modern browser, desktop or mobile. Pause and restart anytime from your account, and print your certificate the moment you finish.

Ready to Earn Your 2 CE Hours?

Online. On demand. PACE-approved. $40 — the neuro-ortho evaluation that catches what a dropped head is really saying.

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CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 30, 2026 (CT)

This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This online chiropractic course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Yukon,

This online chiropractic course is accredited in the following regions outside the United States & Canada:

Argentina, Australia, Bahamas, Belgium, Bolivia, Cayman Islands, Chile, Colombia, Costa Rica, Cyprus, Denmark, Dominican Republic, Ecuador, Fiji, Finland, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Namibia, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,